EYEBALL OPTICAL INC (NPI# 1932296225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932296225 |
| Entity Type | Organization |
| Organization Name | EYEBALL OPTICAL INC |
| Practice Address |
458 Talcottville Rd Vernon CT 06066-4052 |
| Practice Telephone | 8608756156 |
| Practice Fax Number | 8608713822 |
| Mailing Telephone | 8608756156 |
| Mailing Fax Number | 8608713822 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-10-05 |
| Authorized Official Name | MR. MICHAEL R KELLY (PRES) |
| Authorized Official Telephone | 8608766156 |
| Authorized Official Credential | L.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 1167 | CT | Suppliers |
| Street Address |
458 TALCOTTVILLE RD |
| City | VERNON |
| State | CT |
| Zip Code | 06066-4052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558713859 | Kelly Family Eyecare, LLC | Optometrist | 458 Talcottville Rd, Suite 1, Vernon, CT 06066-4052 | 2016-07-11 |
| 1669823910 | Abby Kelly | Optometrist | 458 Talcottville Rd, Vernon, CT 06066-4052 | 2016-06-28 |
| 1043693468 | Michael R Kelly | Technician/Technologist | 458 Talcottville Rd, Vernon, CT 06066-4052 | 2015-07-02 |
| 1013079706 | James Smyth | Optometrist | 458 Talcottville Rd, Vernon, CT 06066-4052 | 2006-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992204 | Kumeh Bestman | Social Worker | 41 Jeff Road, Vernon, CT 06066 | 2020-05-05 |
| 1114567922 | Irina Bratan | Nurse Practitioner | 35 Talcottvile Road, Vernon, CT 06066 | 2020-01-09 |
| 1457833899 | Jessica Elizabeth Navallil | Pharmacist | 188 Union Street, Vernon, CT 06066 | 2018-09-02 |
| 1528557709 | Andre Spence | Counselor | 66 Orchard St, Vernon, CT 06066 | 2018-05-03 |
| 1992207468 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 400-1 Talcottville Rd, Vernon, CT 06066 | 2018-03-01 |
| 1811425754 | Patricia Cosgrove Barresi | Occupational Therapy Assistant | 1253 Hartford Turnpike, Vernon, CT 06066 | 2017-05-23 |
| 1922539592 | Ctuc01 | Clinic/Center | 179 Talcottville Rd, Vernon, CT 06066 | 2017-03-24 |
| 1558804070 | First Choice Health Centers, Inc. | Clinic/Center | 94 Union Sreet, 2nd Floor, Vernon, CT 06066 | 2016-12-01 |
| 1235685504 | Lotus Behavioral Consultation | Day Training, Developmentally Disabled Services | 3 Raymond Street, Vernon, CT 06066 | 2016-08-28 |
| 1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
| Find all providers in zip 06066 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538666870 | Solinsky Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 281 Hartford Turnpike, Suite 306, Vernon, CT 06066-4784 | 2018-04-12 |
| 1326225525 | Barry W Haight Md | Eyewear Supplier (Equipment, not the service) | 351 Merline Rd, Vernon, CT 06066-4040 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606516 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1280 East Main Street, Torrington, CT 06790 | 2020-10-15 |
| 1053919290 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 106 Federal Rd, Brookfield, CT 06804-2536 | 2020-10-10 |
| 1215535455 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1046 Tolland Tpke, Manchester, CT 06042-1655 | 2020-10-10 |
| 1124625710 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1046 N Colony Rd Bldg A, Wallingford, CT 06492-1764 | 2020-10-06 |
| 1285241323 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 125 Cross Rd, Waterford, CT 06385-1203 | 2020-09-23 |
| 1407463557 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 555 Universal Dr N, North Haven, CT 06473-3142 | 2020-09-23 |
| 1164038766 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 344 Reidville Dr, Waterbury, CT 06705-2638 | 2020-09-18 |
| 1306467030 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1500 New Britain Ave, H216, West Hartford, CT 06110 | 2020-05-05 |
| 1881228096 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 100 N Water St Ste 1100, Norwalk, CT 06854-5206 | 2020-02-26 |
| 1124675228 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 284 Flanders Rd, East Lyme, CT 06333-1710 | 2019-08-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.